| NPI | 1285061481 |
|---|---|
| Former Name | MONICA RAE KLATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 6162) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 2399) |
| 363A00000X Physician Assistant (Licence: TN 2399) | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2024-03-01 |